Non-Parent'S Consent To Adoption By Spouse Page 2

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Form 34B:
Non-Parent’s Consent to Adoption
(page 2)
Court File Number
by Spouse
AFFIDAVIT OF EXECUTION AND INDEPENDENT LEGAL ADVICE
My name is
(full legal name)
and I swear/affirm that the following is true:
1.
I am a member of the Bar of
(name of jurisdiction)
and I am not acting for any other person in this adoption case.
2.
I explained to
about
(non-parent’s full legal name)
the nature and effect of adoption under the law of Ontario;
the nature and effect of this consent;
the circumstances under which this consent may be withdrawn; and
the right to counselling.
3.
After my explanation, he/she told me that he/she wanted to sign this consent.
4.
I was present at and witnessed the signing of this consent.
Sworn/Affirmed before me at
municipality
in
Signature
province, state or country
(This form is to be signed in front of a lawyer,
on
justice of the peace, notary public or
date
Commissioner for taking affidavits
commissioner for taking affidavits.)
(Type or print name below if signature is illegible.)
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Clear Form
FLR-34B-E (2007/06)
Page 2 of 2

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